DECREASING MALNUTRITION THROUGH SELF-EFFICACY Deborah Andrews University of Central Florida.
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Transcript of DECREASING MALNUTRITION THROUGH SELF-EFFICACY Deborah Andrews University of Central Florida.
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DECREASING MALNUTRITION THROUGH SELF-EFFICACY
Deborah AndrewsUniversity of Central Florida
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(Mueller, 2008)
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Risks to the Elderly Wasting syndrome, sarcopenia, nosocomial infections, immunosuppression, inflammatory processesExacerbation of Chronic DiseaseDecrease Cognitive FunctionDepression Weakness/FallsFinancial burden
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Socioeconomic CostsPatient and FamilyHealth FacilitiesHealth Care IndustryNurses
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Problem StatementMalnutrition is multifactoral and often unidentified and under-treated by health care professionals. Screenings, assessments and interventions are deficient for our elderly population, putting them at greater risk of malnutrition and exacerbating the aging process.
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Significance of Malnutrition in the Elderly
Independent Elders: 1% to 15% are malnourishedInstitutionalized Elders: 25% to 85% are malnourishedAdults over the age of 65 are the fastest growing demographic
Malnutrition increases: COGNITIVE PROBLEMSFALL RISKSEXACERBATION OF CHRONIC ILLNESSESHEALING TIMELENGTH OF STAYMANPOWER NEEDS
(Culp & Cacchione, 2008,)
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Significance to Nursing:Increase work load- ADLs, Charting, InterventionsLess time to spend with other patients
Lazarus & Hamlyn, 2005
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Specific Aims
Increase understanding of nutrition
Maintain functionality
Increase qualify of Life
Decrease work load of nurse
Decrease cost to health care system
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Theory of Self-EfficacySelf-efficacy is the belief in one’s own ability to control and generate specific accomplishments. The higher one’s self-efficacy, the greater motivated one is to achieve a particular outcome. This is based on the interrelationships among person, behavior, and environment.
(Bandura, 2004 Resnick, 2003)
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SELF-EFFICACY EXPECTATIONS:Enactive attainment
Vicarious experience
Verbal persuasion
Physiological feedback during the behavior
SELF-EFFICACY OUTCOMES: What will occur if a task is effectively achieved.
(Chang, Crogan, & Wong, 2007, Resnick, 2003)
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APPLICATION TO CLINICAL PRACTICE
Education of nutritional needsInvolvement of patient in their nutritional careEngaged eating(sharing meal with others)Verbal encouragement Continued physical and psychological assessments
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SUMMARY AND CONCLUSIONQuality of life is enhanced by proper nutrition Nurses can decrease malnutrition through Self-efficacy of patients.
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ReferencesBandura, A. (2004). Health promotion by social cognitive means. Health education and
Behavior, 31(2), 143-164.
Chang, S., Crogan, N.L., Wung, S. (2007). The self-care self-efficacy enhancement program for chinese nursing home elders. Geriatric Nursing, 28(1), 31-36.
Culp, K.R. & Cacchione, P.Z. (2008). Nutritional status and delirium on long-term elderly individuals. Applied Nursing Research, 21, 66-74.
Lazarus, C. & Hamlyn, J. (2005). Prevalence and documentation of malnutrition in hospitals: A case study in a large private hospital setting. Nutrition & Dietetics 62(1), 41-47.
Mueller, C. (2008). Inflammation, old age, and nutritional assessment. Topics in Clinical Nutrition. 23(2), 131-138.
Resnick, B. (2003). The theory of self-efficacy. In M.J. Smith & P.R. Liehr (Eds.), Middle range theory for nursing (pp. 189-205). New York: Springer